An example of the different ways, helpful and unhelpful, that test weights 
can be used. Several years ago I worked with a mother who lacked confidence 
in her body's ability to feed her baby appropriately. She'd had infertility 
problems. Even adopted a baby prior to conceiving. She was an engineer who 
liked precise measurements.  So one week-end I loaned her my good scale. She 
did pre and post feed weights for 48 hours and noted how different the 
amounts consumed were from feed to feed, but that baby took in an 
appropriate amount over each 24 hour period. Also that baby gained weight 
each day. Her confidence was boosted enormously by this experience. 
Interestingly, because she had been so anxious, her pediatrician had made an 
appointment for her to see another LC who was on her insurance plan.  (He 
didn't know me, and mother was paying me out of pocket.)  At the consult, 
the baby was expected to feed at a time when mother knew he was not 
particularly hungry. Test weights were done.  Because he took so little, the 
LC made up a care plan suggesting routine supplementation after nursings. 
Mother refused because she now knew better, having done 48 hours of test 
weights herself.  Baby did very well from then on because mother believed in 
herself.

Anne Grider, IBCLC 

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